Atypical presentation of testicular torsion: a case series

Abstract

Background Testicular torsion is a urological emergency and needs urgent intervention to prevent testicular loss and impaired future fertility. It is commonly seen in the neonatal and adolescent age groups. Testicular torsion can also present outside these common age groups with uncommon symptoms and signs. We report case series of patients managed at Lily Hospitals Limited, Warri, Delta State, Nigeria with atypical presentation of testicular torsion. Case Presentation The first patient was a 35-year-old male that presented with recurrent right testicular pain of 1-year duration, described as dull aching with no constitutional symptoms, physical examination findings were not pathognomonic of testicular torsion, he had scrotal exploration with right orchidectomy and left orchidopexy. The second patient was a 39-year-old male who presented with recurrent right testicular pain of 4-days duration, described as dull aching with no constitutional symptoms. Physical examination findings were not classical for testicular torsion, he had scrotal exploration with bilateral orchidopexy. Conclusion Testicular torsion although common in neonatal and adolescent age groups can also present outside these age groups with uncommon symptoms and signs, a high index of suspicion is thus invaluable in any patient presenting with testicular pain despite the age and severity to avoid missing the diagnosis as this can lead to testicular loss.

Atypical symptoms of testicular torsion in a 7-year-old child: A case report

“…[ 3 , 4 ] Testicular torsion can be present in outside the common age of occurrence and an atypical pattern. [ 5 ] Although rare, bilateral testicular torsion can happen in the pediatrics. [ 6 , 7 ] Additionally, atypical presentations with abdominal pain, groin pain, nausea, and torsion in the abdomen or inguinal area may cause misdiagnosis or delay diagnosis.…”